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Interest Form - Food Sampling Participant Waiver & Registration

Please complete this "Assumption of Risk and Release of Liability" and additional registration information to participate in the Salinas Valley Food & Wine Festival 2022.



I acknowledge on behalf of my business or organization that I am voluntarily applying to participate in Salinas Valley Food & Wine Festival activities, and any and all activities incidental thereto, in conjunction with the Salinas Valley Food & Wine Festival (collectively, the “Activities”).

1. I / WE AM / ARE AWARE THAT THE ACTIVITIES INVOLVE RISKS, WHICH MAY LEAD TO SERIOUS INJURY OR DEATH. I / WE AM / ARE VOLUNTARILY PARTICIPATING IN THE ACTIVITIES WITH THE KNOWLEDGE OF THE DANGER INVOLVED, AND HEREBY AGREE TO ACCEPT ALL RISKS OF INJURY OR DEATH.

a) As consideration for being permitted to participate in the Activities, I / we hereby voluntarily release, discharge, waive and relinquish all actions or causes of action for personal injury, property damage or wrongful death occurring to me / us as a result of engaging in the Activities, wherever or however the same may occur and for whatever period the Activities may continue, and I do for my / our / self / selves, my heirs, executors, administrators and assigns hereby thereafter arise for me / our estate, and Agree that under no circumstances will my / our heirs, executors, administrators or I / we and assigns prosecute, present any claim for personal injury, property damage or wrongful death against Salinas Valley Food & Wine Festival, Salinas City Center Improvement Association, or the Oldtown Salinas Foundation, a California non-profit – tax deductible 501(c)3, or any of its officers, agents, servants, or employees (the “Released Parties”) for any said causes of action, whether the same shall arise by negligence or otherwise.

I Agree

2. IT IS MY / OUR INTENTION, BY THIS INSTRUMENT, TO EXEMPT AND RELIEVE THE RELEASED PARTIES FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE.

a) The undersigned, for him / herself, his / her heirs, executors, administrators or assigns agrees that, in the event any claim for personal injury, property damage or wrongful death shall be prosecuted against the Released Parties arising out of, or in any way connected with, the undersigned’s participation in the activities, he / she shall indemnify and save harmless the Released Parties from any and all claims or causes of action by whomever or whatever made or presented for personal injuries, property damage or wrongful death. Vendors (selling items) shall name Salinas Valley Food & Wine Festival as “Additional Insured” on vendor’s liability insurance policy in an amount not less than $1,000,000.00. A copy of this insurance and rider shall be provided to Salinas Valley Food & Wine Festival immediately upon notice of acceptance as a vendor.

I Agree

3. I / WE AM / ARE AWARE THAT FOOD/WINE/BEER/SPIRITS ARE NOT ALLOWED TO BE SERVED OUTSIDE OF PERMITTED PREMISES. ALL FOOD/WINE/BEER/SPIRITS MUST BY PREPARED AND SERVED ONLY IN THE AREAS DESIGNATED BY THE  MONTEREY COUNTY HEALTH DEPT. UNDER THE CURRENT HEALTH PERMIT.

I Agree

4. I / WE AM / ARE AWARE THAT THERE WILL BE NO SECURITY OVERNIGHT. ANY ITEMS LEFT OUTSIDE OVERNIGHT ARE AT MY / OUR OWN RISK.

I Agree

5. I / WE AGREE TO INDEMNIFY AND HOLD HARMLESS THE SALINAS VALLEY FOOD & WINE FESTIVAL, SALINAS CITY CENTER IMPROVEMENT ASSOCIATION, OLDTOWN SALINAS FOUNDATION, THE CITY OF SALINAS, AND THE PROPERTY OWNERS FROM ALL DAMAGES, LIABILITIES, COSTS, AND EXPENDITURES INCLUDING ATTORNEY’S FEES.

I Agree

I / We have carefully read this agreement, am / are fully and completely aware of the potential dangers incidental to engaging in the Activities, and am / are fully aware of the legal consequences of signing this agreement. I / We am / are aware that this is a release from liability and sign it of my / our own free will.

 

First Representative's Name

First Name*

Last Name*

Phone*
First Representative's Date of Birth*
I certify that I am 18 years of age or older
First Representative's Signature*
Second Representative's Name

First Name*

Last Name*
Second Representative's Date of Birth*
Third Representative's Name

First Name*

Last Name*
Third Representative's Date of Birth*
Fourth Representative's Name

First Name*

Last Name*
Fourth Representative's Date of Birth*
Fifth Representative's Name

First Name*

Last Name*
Fifth Representative's Date of Birth*
Sixth Representative's Name

First Name*

Last Name*
Sixth Representative's Date of Birth*
Seventh Representative's Name

First Name*

Last Name*
Seventh Representative's Date of Birth*
Eighth Representative's Name

First Name*

Last Name*
Eighth Representative's Date of Birth*
Ninth Representative's Name

First Name*

Last Name*
Ninth Representative's Date of Birth*
Tenth Representative's Name

First Name*

Last Name*
Tenth Representative's Date of Birth*
Representative's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Food Sampling Participant - Business / Organization Detail

Business / Organization Name *

Owner of Food Facility *

Health Department Permit # *

Business website/social media

Brief Description of Business / Organization *

Brief Description of items/products to be sampled / promoted. *
Please select the food preparation option you have arranged with our Director of Food:
We will cook (if applicable) and prepare our food samples at our place of business and bring them fully prepared in individual serving cups/plates, the food samples do not need to be kept hot.
We will cook our food samples at our place of business. We will prepare the individual samples on-site at the festival. Our food samples will need to be kept hot and we will provide catering equipment to keep our food hot.
We will cook our food samples at the festival with a grill or other equipment that requires an open flame. We will provide all the needed equipment and cooking materials.
We are a restaurant located on the 100, 200 or 300 block of Main St and will prepare and serve our food samples somewhere within the premises of our business.
Farmer's Market: We will prepare food in my station at the farmer's market. We will deliver the samples to another tent on the 100 or 200 block.
We will be bringing our own fully enclosed tent.*
No
Yes
Do you need tables and chairs provided by the festival?*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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